Healthcare Provider Details

I. General information

NPI: 1952215949
Provider Name (Legal Business Name): BRITTANY HANNAN-SAMSONOWICZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 S FRONTAGE RD STE 36
BURR RIDGE IL
60527-6169
US

IV. Provider business mailing address

241 S FRONTAGE RD STE 36
BURR RIDGE IL
60527-6169
US

V. Phone/Fax

Practice location:
  • Phone: 708-529-9388
  • Fax:
Mailing address:
  • Phone: 708-529-9388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberHANN-R0NLKF
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: